• 대한전자공학회논문지
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• 제22권4호
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• pp.101-112
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• 1985

움직이는 물체의 영상으로부터 그 물체의 운동을 해석하는 것은 매우 중요하다. 본 논문에서는 X-ray 영상을 이용하여 심장운동을 해석하는 알고리즘에 관하여 연구하였다. 관상동맥 혈관조영상을 이용하여 심장운동에 따른 국부적인 심근표면(Epicardial)의 변형과 심근두께의 변화 그리고 이에 작용하는 원주 방향 및 길이 방향의 응력을 추정하는 새로운 수학적인 방법을 개발하였다. 이 새로운 방법에서는 관상동맥의 분지점 영상의 시간에 따른 위치 변화를 심장운동 해석의 기본 data로 사용하였다. 4마리 개과 1사람의 관상동맥 조영상을 이용한 실제 실험결과로 부터 본 논문의 방법이 납으로 만든 marker를 붙여 얻은 결과와 비교하여 볼때 타당성이 있음을 알 수 있었다. 따라서 이 방법을 이용하면 관상동맥 혈관조영상으로 부터 기존의 혈관상태에 관한 정보 이외에도 국부 심근운동에 따른 변형 및 응력(stress)을 얻을 수 있게 된다.

• Journal of Chest Surgery
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• 제18권4호
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• pp.635-642
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• 1985

Double outlet left ventricle [DOLV] is a rare cardiac anomaly in which both great arteries arise entirely, or predominantly above the morphologically left ventricle. About 100 cases of DOLV have been reported in the literatures by 1984. We have experienced eight cases of DOLV at Seoul National University Hospital during the period from October 1981 to July 1905. Ages of the patients were ranged from 12 months to 24 years old, and chief complaints on admission were frequent URI and DOE in 5 cases and cyanosis in other 3 cases. In all eight patients, Cardiac catheterization and cineangiography were performed but pre-operative diagnoses were incorrect except one case [VSD in 2 cases, DORV in 2cases, c-TGA in 2 cases and TOF in one case] We have performed total corrective surgery in seven patients. In case I, patch closure of VSD aligning aorta and pulmonary artery with LV, ligation of proximal pulmonary artery and the use of external valved conduit from RV to PA have been employed. In other 6 cases, intraventricular repair using boomerang shaped Dacron patch with correction of associated anomalies were employed. In remaining one patient who had coexistent PDA and coarctation of aorta, we have performed coarctoplasty and PDA ligation initially and the patient is waiting for subsequent total corrective procedure. In seven patients whom we have performed total corrective surgery, there is one hospital mortality due to right heart failure and one complication of complete heart block necessitating permanent pacemaker implantation. All survivors are doing well in follow up period of 9 months to 4 years. To our knowledge, this is the first report of surgical experiences for DOLV in the Korean literature.

• Journal of Chest Surgery
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• 제23권6호
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• pp.1256-1262
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• 1990

Percutaneous pulmonary valvuloplasty was performed in 19 patients of congenital pulmonary valve stenosis. Pulmonary annulus diameter was estimated by cross sectional echocardiography and right ventricular cineangiography. The size of balloon dilatation catheter was chosen by the same size of the estimated pulmonary annulus in the first 3 patients and 20 \ulcorner30% greater than the annulus in the last 17 patients. After valvuloplasty a satisfactory results was obtained in most patients. Before dilatation, the right ventricular systolic pressure was 91.7 mmHg[range 58-150 mmHg] and it fell to 49.2mmHg[25-85 mmHg] after dilatation. The transvalvular gradient was 67.7 mmHg[33 \ulcorner120 mmHg] before dilatation and it fell to 23.7mmHg [5 \ulcorner62] after dilatation. Repeat cardiac catheterization has been scheduled in all patients 3 months after the initial valvuloplasty but follow up recatheterization was performed in only two patients; in one of them residual gradient of 50 mmHg was reduced to 30 mmHg by repeat valvuloplasty. The other patient showed no evidence of restenosis with transvalvular gradient of 20 mmHg The balloon used for valvuloplasty was single balloon for the first 10 cases and for the later 10 cases it was replaced by Trefoil balloon which was easier for inflation and deflation. There were no significant complications during and after the procedure. From our results, we conclude that balloon valvuloplasty for congenital pulmonary valve stenosis is the treatment of choice in most patients.